Organization
NORTHERN ILLINOIS MEDICAL CENTER
Active
Parent organization
NORTHERN ILLINOIS MEDICAL CENTER
Other names
Centegra Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN ILLINOIS MEDICAL CENTER
Authorized official
DAVID TOMLINSON (CIO & CFO)
(815) 788-5831
Entity
Organization
Contact information
Practice address
1118 NORTH MAIN STREET, ALGONQUIN, IL 60102-3482
(815) 759-4444
Mailing address
213 FRONT ST., MCHENRY, IL 60050-5501
(815) 759-4444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
03/21/2014
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